Abstract:
OBJECTIVES:Important adjustments in the autonomic nervous system occur during sleep. Bradycardia, due to increased vagal tone, and hypotension, caused by reduction of sympathetic activity, may occur during non rapid eye movement (REM) sleep (NREM). Increased sympathetic activity, causing increased heart rate, is conversely a feature of phasic REM sleep. During REM sleep, sinus arrests and atrioventricular (AV) blocks unrelated to apnea or hypopnea have been described. These arrhythmias are very rare and only a few cases have been reported in the literature. PATIENTS/METHODS:Following an ECG performed for other reasons, two patients with no history of sleep complaints nor symptoms of heart failure or heart attack were referred to our center for nocturnal brady-arrhythmias. RESULTS:24h ECG Holter recorded several episodes of brady-arrhythmia with sinus arrest in the first patients and brady-arrhythmias with complete AV block in the second patient. In both patients, episodes of brady-arrhythmia were prevalent in the second part of the night. Nocturnal polysomnography (PSG) demonstrated that episodes occurred only during REM sleep, particularly during phasic events. Treatment with pacemaker was considered only for the patient with complete AV blocks. CONCLUSIONS:These types of brady-arrhythmias are usually detected accidentally due to their lack of symptoms. It has been suggested that in some patients they may lead to sudden unexpected death. Thus, the identification of predisposing factors is mandatory in order to prevent potentially dangerous arrhythmic events.
journal_name
Sleep Medjournal_title
Sleep medicineauthors
Serafini A,Dolso P,Gigli GL,Fratticci L,Cancelli I,Facchin D,Gigli M,Valente Mdoi
10.1016/j.sleep.2012.03.001subject
Has Abstractpub_date
2012-06-01 00:00:00pages
759-62issue
6eissn
1389-9457issn
1878-5506pii
S1389-9457(12)00132-3journal_volume
13pub_type
杂志文章相关文献
SLEEP MEDICINE文献大全abstract:OBJECTIVE/BACKGROUND:Cataplexy is the pathognomonic symptom of narcolepsy type 1 (NT1). Since it is considered difficult to be directly observed or documented by clinicians, its diagnosis relies mainly on history taking. Our study aimed at testing the feasibility of a standardized video recording procedure under emotio...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.08.021
更新日期:2019-01-01 00:00:00
abstract:BACKGROUND:Obstructive sleep apnea (OSA) and asthma are common and share similar nocturnal symptoms. We hypothesized that the prevalence of OSA symptoms would be greater in asthmatics compared to a general internal medicine population. METHODS:Patients in the Asthma Clinics (n=177) and Internal Medicine Clinics (n=328...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.06.010
更新日期:2008-07-01 00:00:00
abstract:OBJECTIVE:Type 1 narcolepsy/hypocretin deficiency is characterized by excessive daytime sleepiness, sleep fragmentation, and cataplexy. Short rapid eye movement (REM) latency (≤15 min) during nocturnal polysomnography (PSG) or during naps of the multiple sleep latency test (MSLT) defines a sleep-onset REM sleep period ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.06.007
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:Slow wave sleep (SWS) has been theorized as reflecting a homeostatic sleep process and is considered a state of recuperation. SWS is reduced in obstructive sleep apnea (OSA) patients, but SWS has not been specifically studied in respiratory failure patients. The aim of this study is to investigate SWS in pre...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2011.01.007
更新日期:2011-04-01 00:00:00
abstract:BACKGROUND:Sleep quality in early life has implications for individual and family well-being [19]. Parenting in the early months may be highly influential on infant sleep patterns and trajectories. METHOD:This study used observational and survey data to investigate how sleeping arrangement and two types of nighttime i...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2018.07.013
更新日期:2018-12-01 00:00:00
abstract:OBJECTIVE:To examine changes in functional connectivity of the default mode network (DMN) that are induced by sleep deprivation, and to identify individual differences that contribute to the vulnerability of the brain's response to sleep deprivation. METHODS:Using functional magnetic resonance imaging, we scanned 51 h...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2018.05.040
更新日期:2018-10-01 00:00:00
abstract:OBJECTIVE:To determine the sleep architecture and sleep respiratory abnormalities and to correlate with sleep symptoms in patients with Myotonic dystrophy type 1 (DM1). METHODS:We recruited a cohort of genetically confirmed patients with DM1, who attended the Neuromuscular clinic between July 2016 and December 2019. C...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.12.036
更新日期:2021-01-01 00:00:00
abstract:BACKGROUND:Cerebral small vessel disease (CSVD) is a well-known cause of vascular dementia, a leading medical morbidity in the aging population. Obstructive sleep apnea (OSA) has been validated as a cardiovascular risk factor. However, the relationship between these two clinical syndromes is not well established. We ai...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.11.1262
更新日期:2020-04-01 00:00:00
abstract::Sixteen percent of adults ultimately diagnosed with having narcolepsy/cataplexy experienced symptoms before the age of ten years, 4.5% even before the age of five years. The symptomatology in childhood narcolepsy/cataplexy can differ significantly from adults and can lead to misinterpretations and misdiagnosis. Standa...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2008.08.005
更新日期:2009-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The aim of this study was to investigate the demographic variables and clinical characteristics of behaviorally induced insufficient sleep syndrome (BIISS) and to compare it with the other major hypersomnia disorders. PATIENTS AND METHODS:One-thousand two-hundred forty-three consecutive patients...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2007.08.018
更新日期:2008-12-01 00:00:00
abstract:BACKGROUND:A syndrome of daytime consequences of insomnia and objectively severe sleep disturbance, which is not perceived by the patients, has recently been described. The present study aimed at retrospectively analyzing data on a group of such asymptomatic insomniacs. METHOD:Twenty-seven middle-aged target patients ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2006.08.010
更新日期:2007-03-01 00:00:00
abstract:OBJECTIVE:to explore the status of concentration of klotho and fibroblast growth factor 23 (FGF23) in cerebrospinal fluid (CSF) of patients with narcolepsy. PATIENTS/METHODS:59 patients with narcolepsy and 17 control individuals were enrolled. We used radioimmunoassay, human klotho enzyme-linked immunosorbent assay (E...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.11.037
更新日期:2020-12-15 00:00:00
abstract:OBJECTIVE:Actigraphy is a non-intrusive method of recording rest/activity cycles as well as a surrogate for sleep/wake activity. Standard actigraphy analysis is limited in ascribing discrete movement events to wake status during sleep. We applied a novel algorithm to overnight actigraphy data recorded simultaneously wi...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.02.020
更新日期:2020-07-01 00:00:00
abstract::In addition to being necessary for vision, light also plays a primary role in circadian physiology. Humans are diurnal animals and their biological clock synchronizes their physiological functions in such a way that functions associated with activity happen in the daytime while functions associated with rest occur at ...
journal_title:Sleep medicine
pub_type: 杂志文章,评审
doi:10.1016/j.sleep.2006.11.008
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:The status of night-to-night variability for periodic limb movements in sleep (PLMS) has not been clarified. With this in mind, we investigated the validity of PLMS measurement by actigraphy with the PAM-RL device in Japanese patients with suspected restless legs syndrome (RLS) or periodic limb movement diso...
journal_title:Sleep medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.sleep.2013.08.790
更新日期:2014-01-01 00:00:00
abstract:OBJECTIVE:To examine the presence and characteristics of idiopathic REM sleep behavior disorder (IRBD) in a representative Caucasian sample from the elderly community of Lleida, Spain, attending primary care centers. METHODS:Participants were individuals aged 60 years or older who underwent routine visits in two prima...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.07.021
更新日期:2017-12-01 00:00:00
abstract::We report a new, pathologically verified Italian case of fatal familial insomnia, whose clinical presentation was characterised by complex behavioural disturbances, suggesting wakefulness/NREM/REM combinations. ...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2008.05.007
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVES:Difficult awakening is a key symptom of delayed sleep phase disorder (DSPD), but no studies have quantified awakening thresholds in a sleep laboratory. This study assessed whether cognitive function was impaired after awakening and whether difficult awakening was associated with specific polysomnographic fea...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2014.05.024
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to examine whether the Insomnia Severity Index (ISI) and Pittsburgh Sleep Quality Index (PSQI) are valid outcome measures for Cognitive Behavioral Therapy for Insomnia (CBT-I). Specifically, we tested whether the factorial parameters of the ISI and the PSQI could remain invariant...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.04.003
更新日期:2017-07-01 00:00:00
abstract:OBJECTIVE:The effects of obstructive sleep apnoea (OSA) on the markers of glucose metabolism and other hormones are of interest, particularly since there is growing evidence that OSA may be a risk factor for disorders such as insulin resistance. However, interpreting these studies depends on the target hormone not havi...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2011.01.020
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:Sleep is critical for adolescent health and is influenced by the family environment. In our study, we examined if family structure defined as single- vs. two-parent households affected adolescent sleep. METHODS:Participants were 242 (57% black; 47% boys) healthy adolescents (mean age, 15.7 years). Sleep was...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2013.10.012
更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:Later school start times for adolescents have been implemented in the US and associated benefits found, although no randomised controlled trials (RCT) have been undertaken. The objective of this study was to evaluate the impact of two school interventions in the UK, a delayed start time and a sleep education ...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2018.10.021
更新日期:2019-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Interventions to improve treatment outcomes in sleep apnoea-hypopnoea syndrome (SAHS) have had mixed success. Most have concentrated on following the use of a continuous positive airway pressure (CPAP) machines; poorer users may not return for machine readings, so any compliance study must take i...
journal_title:Sleep medicine
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.sleep.2005.09.007
更新日期:2006-04-01 00:00:00
abstract:OBJECTIVES:To test agreement and define differences in periodic limb movements in sleep (PLMS) measured by polysomnography and an ankle activity monitor, and to describe PLMS variability across nights, feasibility of home monitoring, and correlates of PLMS in children with sickle cell disease (SCD). METHODS:Twenty chi...
journal_title:Sleep medicine
pub_type: 临床试验,杂志文章
doi:10.1016/j.sleep.2012.06.016
更新日期:2012-09-01 00:00:00
abstract:OBJECTIVE:An association between migraine and sleep disturbances in children was reported, yet limited clinical data exist. The current study addresses the clinical presentation, polysomnographic (PSG) characteristics, and comorbid sleep diagnoses of children with migraine referred to the sleep clinic. PATIENTS:A retr...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2019.04.023
更新日期:2019-11-01 00:00:00
abstract:OBJECTIVE:To report our findings from a sample of narcoleptic children and adolescents evaluated in our unit from 1988 to 2005. PATIENTS AND METHODS:The sample was composed of nine children (5 boys) with a mean age of 14.5 years at diagnosis. The protocol included the following: Epworth, Ullanlinna narcolepsy scale, a...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2010.02.017
更新日期:2011-01-01 00:00:00
abstract:OBJECTIVE:Poor sleep may be a risk factor for obesity. Previous studies have mainly investigated the effects of sleep duration on body mass index, but research considering overall sleep quality and other anthropometric measures is scarce. The aim of this study was to examine the association between sleep quality and di...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.05.023
更新日期:2015-10-01 00:00:00
abstract:OBJECTIVE:The association between restless legs syndrome (RLS) and obstructive sleep apnea syndrome (OSAS) has seldom been reported. There is one study reporting improvement of RLS symptoms severity in patients naive of treatment after initiation of continuous positive airway pressure (CPAP) for OSAS. The aim of this s...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2017.06.023
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Mandibular advancement devices (MADs) are one of the treatment options used for the obstructive sleep apnea syndrome (OSAS). At present, MADs are designed with standard titration systems, without considering each patient's anatomical characteristics of the temporomandibular joint and mandible shape. The main...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2020.04.016
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Previous studies have uncovered a very high prevalence of sleep disorders in general, and of sleep-disordered breathing in particular among children exposed to indoor biomass fuel pollution. However, despite the significant symptomatology, parents are unlikely to report these issues during health-care visits...
journal_title:Sleep medicine
pub_type: 杂志文章
doi:10.1016/j.sleep.2015.02.536
更新日期:2015-06-01 00:00:00